Gateway Change: Clearinghouses Should Submit Claims to HealthSpring

Feb. 12, 2026

Effective March 18, 2026, providers will no longer be able to submit claims for patients with HealthSpring Medicare Advantage coverage via the Cigna Medicare Enterprise Gateway. If a claim is submitted via the Cigna Medicare Enterprise Gateway, then the claim will be rejected for member not found.

To prevent delays in claims processing, providers should contact their respective clearinghouse or claims submission vendor before March 18 to ensure they are configured correctly. All clearinghouses should use payer ID 52192 for HealthSpring Medicare Advantage claims. Providers who submit claims via the provider portal, Availity^® Essentials, should access the HealthSpring Medicare Advantage payer space and use the payer ID 52192.

If you have questions, please contact your Provider Performance Enablement Representative.